Proximate Determinants of Birth Interval Length In Amhara Region: The Case of Fagita Lekoma Woreda, Awi- Zone

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Addis Ababauniversity


Adequate child spacing is considered as a posilive factor on Ihe health of mothers and their children. The birth interval has been reported to have significant effect on the child'sfoture physical and mental capabilities. However, lillie or no allempt has been made to identify the socio economic, demographic and biological determinants of birlh interval length using primary data in the study area. The general objective of this study was an investigation of the key factors affecting birth interval length in Fagita Lekoma woreda. For this purpose, cross sectional study was conducted in three kebeles of Fagita Lekoma Woreda, Awi Administrative Zone. For this study, 504 eligible women (women who had at least two children) were selected by using systematic random sampling technique. In order to investigate the effects of co variates on the dependent variable, Cox proportional hazard model was used. In bivariate analysis, the Kaplan Meier median length was used to examine birth interval differentials by socio economic, demographic and biological characteristics of women. The results indicated that almost in all birth intervals, educated women, working women, Protestants, urban women, women belonging to the Agew ethnic group, women whose index child has survived, women who had married at 18years of age or ajier and women who used family planning programs have longer birth interval lengths. In multivariale analysis, work status, contraceptive use and survival status of the index child were consistently significanl while age at first marriage and place of residence were significant in some birlh inlervals. It is recommended that concerled efforl be made to enhance female educalion, their labor force participation, expand coverage of family planning services and increase age at first marriage



Length In Amhara Region